Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omid Heravi

Individual provider Hospitalist Physician · NPI 1821523044

Omid Heravi is an Internal Medicine in Brooklyn, New York. Qualified in 2006, 20 years ago. Practices with Interfaith Professional Physician Services PC, a 384-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2508
Phone: (718) 630-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 585 Schenectady Ave, Brooklyn, NY 11203-1822 — (718) 363-6771

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 308685 (NY)

Record details

NPI number1821523044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2017
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing address585 Schenectady Ave, K4, Brooklyn, NY 11203-1822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Interfaith Professional Physician Services Pc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Brooklyn